Korean J Cerebrovasc Surg.
2005 Sep;7(3):245-248.
Acute Esotropia Secondary to Thalamic Hemorrhage
- Affiliations
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- 1Department of Neurosurgery, Pundang CHA Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea.
- 2Department of Neurology, Pundang CHA Hospital, College of Medicine, Pochon CHA University, Sungnam, Korea. jyahn@cha.ac.kr
Abstract
- Acute esotropia following supranuclear cerebral lesions is rare. Although little is known about its mechanism, it may be seen secondary to thalamic and brainstem lesions. We describe 3 patients who showed unilateral esotropia from thalamic hemorrhage. One patient developed an ipsilesional esotropia with bilateral upgaze paralysis. The other patient showed contralesional esotropia with bilateral upgaze paralysis. Another patient had only contralesional esotropia. We discuss the possible mechanism of esotropia in patients with thalamic hemorrhage and review the literature.